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  1. Article ; Online: Infant mortality and causes of death by birth weight for gestational age in non-malformed singleton infants: a 2002-2012 population-based study.

    Premru-Srsen, Tanja / Verdenik, Ivan / Ponikvar, Barbara Mihevc / Steblovnik, Lili / Geršak, Ksenija / Cerar, Lilijana Kornhauser

    Journal of perinatal medicine

    2017  Volume 46, Issue 5, Page(s) 547–553

    Abstract: Objective: To explore the associations between birth weight for gestational age (GA) and infant mortality as well as causes of infant death.: Study design: A population-based observational study conducted between 2002 and 2012 included 203,620 non- ... ...

    Abstract Objective: To explore the associations between birth weight for gestational age (GA) and infant mortality as well as causes of infant death.
    Study design: A population-based observational study conducted between 2002 and 2012 included 203,620 non-malformed singleton live births from Slovenia. Poisson regression analyses were performed to estimate the crude relative risk (RR) and adjusted RR (aRR) for infant mortality by birth weight percentiles stratified by the GA subgroups term, moderate-to-late preterm, very preterm and extremely preterm.
    Results: Compared with appropriate for GA (AGA) term infants (referent-AGA), infant mortality was significantly higher in small for GA (SGA) term infants [aRR=2.79 (1.41-5.50)], with significant cause-specific infant mortality risk for neuromuscular disorders [RR=10.48 (2.62-41.91)]. The differences in infant mortality and cause-specific infant mortality in preterm subgroups between referent-AGA and SGA were insignificant.
    Conclusions: In the Slovenian population, birth weight for GA is significantly associated with infant mortality only in infants born at term.
    MeSH term(s) Birth Weight ; Cause of Death ; Female ; Gestational Age ; Humans ; Infant ; Infant Mortality ; Infant, Newborn ; Male ; Slovenia/epidemiology
    Language English
    Publishing date 2017-05-08
    Publishing country Germany
    Document type Journal Article ; Observational Study
    ZDB-ID 123512-6
    ISSN 1619-3997 ; 0300-5577 ; 0936-174X
    ISSN (online) 1619-3997
    ISSN 0300-5577 ; 0936-174X
    DOI 10.1515/jpm-2017-0103
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Quality of maternal and newborn care around the time of childbirth for migrant versus nonmigrant women during the COVID-19 pandemic: Results of the IMAgiNE EURO study in 11 countries of the WHO European region.

    Costa, Raquel / Rodrigues, Carina / Dias, Heloísa / Covi, Benedetta / Mariani, Ilaria / Valente, Emanuelle Pessa / Zaigham, Mehreen / Vik, Eline Skirnisdottir / Grylka-Baeschlin, Susanne / Arendt, Maryse / Santos, Teresa / Wandschneider, Lisa / Drglin, Zalka / Drandić, Daniela / Radetic, Jelena / Rozée, Virginie / Elden, Helen / Mueller, Antonia N / Barata, Catarina /
    Miani, Céline / Bohinec, Anja / Ruzicic, Jovana / de La Rochebrochard, Elise / Linden, Karolina / Geremia, Sara / de Labrusse, Claire / Batram-Zantvoort, Stephanie / Ponikvar, Barbara Mihevc / Sacks, Emma / Lazzerini, Marzia

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2022  Volume 159 Suppl 1, Page(s) 39–53

    Abstract: Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.: Methods: Women who gave birth at a health facility in 11 countries of the WHO European ... ...

    Abstract Objective: To describe the perception of quality of maternal and newborn care (QMNC) around the time of childbirth among migrant and nonmigrant women in Europe.
    Methods: Women who gave birth at a health facility in 11 countries of the WHO European Region from March 2020 to July 2021 were invited to answer an online questionnaire including demographics and childbirth experience. Data were analyzed and compared for 1781 migrant and 20 653 nonmigrant women.
    Results: Migrant women who experienced labor perceived slightly more difficulties in attending routine antenatal visits (41.2% vs 39.4%; P = 0.001), more barriers in accessing facilities (32.9% vs 29.9%; P = 0.001), lack of timely care (14.7% vs 13.0%; P = 0.025), inadequate room comfort and equipment (9.2% vs 8.5%; P = 0.004), inadequate number of women per room (9.4% vs 8.6%; P = 0.039), being prevented from staying with their baby as they wished (7.8% vs 6.9%; P = 0.011), or suffering abuse (14.5% vs 12.7%; P = 0.022) compared with nonmigrant women. For women who had a prelabor cesarean, migrant women were more likely not to receive pain relief after birth (16.8% vs.13.5%; P = 0.039) and less likely to provide informal payment (1.8% vs 4.4%; P = 0.005) compared with nonmigrant women. Overall, the QMNC index was not significantly different for migrant compared with nonmigrant women.
    Conclusion: Gaps in overall QMNC were reported by both migrant and nonmigrant women, with improvements to healthcare necessary for all.
    MeSH term(s) Infant, Newborn ; Female ; Pregnancy ; Humans ; Transients and Migrants ; Pandemics ; COVID-19 ; Parturition ; World Health Organization ; European People
    Language English
    Publishing date 2022-12-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14472
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Quality of facility-based maternal and newborn care around the time of childbirth during the COVID-19 pandemic: online survey investigating maternal perspectives in 12 countries of the WHO European Region.

    Lazzerini, Marzia / Covi, Benedetta / Mariani, Ilaria / Drglin, Zalka / Arendt, Maryse / Nedberg, Ingvild Hersoug / Elden, Helen / Costa, Raquel / Drandić, Daniela / Radetić, Jelena / Otelea, Marina Ruxandra / Miani, Céline / Brigidi, Serena / Rozée, Virginie / Ponikvar, Barbara Mihevc / Tasch, Barbara / Kongslien, Sigrun / Linden, Karolina / Barata, Catarina /
    Kurbanović, Magdalena / Ružičić, Jovana / Batram-Zantvoort, Stephanie / Castañeda, Lara Martín / Rochebrochard, Elise de La / Bohinec, Anja / Vik, Eline Skirnisdottir / Zaigham, Mehreen / Santos, Teresa / Wandschneider, Lisa / Viver, Ana Canales / Ćerimagić, Amira / Sacks, Emma / Valente, Emanuelle Pessa

    The Lancet regional health. Europe

    2021  Volume 13, Page(s) 100268

    Abstract: Background: Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking.: Methods: Women who gave birth in 12 countries of the WHO European Region from March 1, ...

    Abstract Background: Multi-country studies assessing the quality of maternal and newborn care (QMNC) during the COVID-19 pandemic, as defined by WHO Standards, are lacking.
    Methods: Women who gave birth in 12 countries of the WHO European Region from March 1, 2020 - March 15, 2021 answered an online questionnaire, including 40 WHO Standard-based Quality Measures.
    Findings: 21,027 mothers were included in the analysis. Among those who experienced labour (N=18,063), 41·8% (26·1%- 63·5%) experienced difficulties in accessing antenatal care, 62% (12·6%-99·0%) were not allowed a companion of choice, 31·1% (16·5%-56·9%) received inadequate breastfeeding support, 34·4% (5·2%-64·8%) reported that health workers were not always using protective personal equipment, and 31·8% (17·8%-53·1%) rated the health workers' number as "insufficient". Episiotomy was performed in 20·1% (6·1%-66·0%) of spontaneous vaginal births and fundal pressure applied in 41·2% (11·5% -100%) of instrumental vaginal births. In addition, 23·9% women felt they were not treated with dignity (12·8%-59·8%), 12·5% (7·0%-23·4%) suffered abuse, and 2·4% (0·1%-26·2%) made informal payments. Most findings were significantly worse among women with prelabour caesarean birth (N=2,964). Multivariate analyses confirmed significant differences among countries, with Croatia, Romania, Serbia showing significant lower QMNC Indexes and Luxemburg showing a significantly higher QMNC Index than the total sample. Younger women and those with operative births also reported significantly lower QMNC Indexes.
    Interpretation: Mothers reports revealed large inequities in QMNC across countries of the WHO European Region. Quality improvement initiatives to reduce these inequities and promote evidence-based, patient-centred respectful care for all mothers and newborns during the COVID-19 pandemic and beyond are urgently needed.
    Funding: The study was financially supported by the Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
    Study registration: ClinicalTrials.gov Identifier: NCT04847336.
    Language English
    Publishing date 2021-12-24
    Publishing country England
    Document type Journal Article
    ISSN 2666-7762
    ISSN (online) 2666-7762
    DOI 10.1016/j.lanepe.2021.100268
    Database MEDical Literature Analysis and Retrieval System OnLINE

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